Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.87 / $4,283.46 / $8,728.00	Facility		$142.87	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $101.25 / $342.28	Professional		$65.15	$101.25	$342.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.47 / $165.79 / $275.89	Professional		$101.47	$165.79	$275.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.88 / $166.45 / $249.09	Professional		$122.88	$166.45	$249.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.66 / $158.76 / $230.43	Facility		$75.66	$158.76	$230.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $105.14 / $158.60 / $307.47	Professional		$105.14	$158.60	$307.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $110.12 / $170.26 / $209.71	Facility		$110.12	$170.26	$209.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.66 / $162.66 / $266.87	Facility		$75.66	$162.66	$266.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.16 / $182.16 / $276.79	Professional		$124.16	$182.16	$276.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,799.56 / $2,403.83 / $3,156.31	Facility		$1,799.56	$2,403.83	$3,156.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.60 / $191.27 / $294.67	Professional		$125.60	$191.27	$294.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.04 / $193.04 / $330.88	Professional		$149.04	$193.04	$330.88